Jetsbacker saidTimmm55, the stats here show a completely different picture to the one you are painting.
As you can see, the incidence of hiv is actually on the rise. I would also caution you with using CDC stats in the US as there have been flaws in the collecting methodology. The biggest issue with hiv stats is that they are notoriously underreported. People contract hiv and potentially go for years without being aware that they even have it. While I am not arguing that the study you are discussing is a landmark study with regards to transmission amongst undetectable couples, I caution people to think of this as "undetectable"= no transmission. Even though a viral load in a person may be undetectable, a person can still transmit the hiv virus. There is a huge danger than I am seeing in the younger population that they see being undetectable as a free pass of sorts to have sex however they please(mostly without protection). This is why other STIs are also on the rise. Just because a person might be undetectable at one stage does not mean that they will always be undetectable. Secondary infections, lifestyle, STIs and a host of other factors can change a person`s viral load dramatically. Unless the person is having regular follow-up they can easily cross that bridge to no longer being undetectable and transmit the hiv virus.
That is my concern with this study.
No they are not completely different.
The Canada situation is odd and different. Dr. Julio Montaner is considered the "father of HIV medicine" as he invented the cocktail and the 3 pronged ART Therapy. TasP (Treatment as Prevention) has worked very well in Vancouver BC.
But the rest of Canada is not doing as well. http://crofsblogs.typepad.com/h5n1/2015/02/canada-bc-treatment-as-prevention-strategy-gains-ground-on-hivaids.html
The Chicago report is a perfect example of the problem....I cited similar studies.
You apparently missed "The number of AIDS cases per 100,000 has continued to decline in Western Europe with the number stabilising in Central Europe. This is largely a result of the widespread availability of antiretroviral drugs in these regions.
In Eastern Europe, the number of AIDS cases has been rising since 2009. - See more at: http://www.avert.org/european-hiv-aids-statistics.htm#sthash.yROck01V.dpuf
You say "I would also caution you with using CDC stats in the US as there have been flaws in the collecting methodology."
A link to THAT would be helpful. Especially since the CDC itself doesn't conduct testing.
You say " The biggest issue with hiv stats is that they are notoriously underreported. People contract hiv and potentially go for years without being aware that they even have it."
Every study acknowledges there are problems with under reporting. Nothing new. It's a universal problem.
If you read anything about ART Therapy there are concerns with the cascade concerning drugs, stigma, homelessness, etc. The people who ARE virally suppressed see doctors every 3 or 4 months with labs and blood work. While clinically undetectable is approximately 30% nationally, it is 65% in Boston. "Since 2007, the rate of new HIV diagnoses has fallen in San Francisco, reaching 359 cases in 2013. The city does well in terms of the HIV care cascade, with an estimated 94% of people with HIV being diagnosed (compared with 86% for the US as a whole), 84-91% prescribed antiretroviral therapy and 62% achieving viral suppression (compared with 30% nationwide)."http://www.aidsmap.com/PrEP-use-rising-in-San-Francisco-but-scaling-up-could-further-cut-new-infections/page/2948287/
Boston and San Francisco HIV new infection rates are DOWN.
The BIG problem is: Do Black Lives Matter?
Asks amfAR in New Report
Multiple research studies have shown that, while Black gay men have substantially higher rates of new HIV infections than other gay men, this disproportionate HIV incidence cannot be explained by differences in risk behaviors. Instead, the high HIV incidence arises from the fact that so many Black gay men -- nearly one in three -- are already infected with the virus.
Several other factors also contribute to high HIV incidence among Black gay men, according to the report. These include a history of neglect by institutions and communities, underfunding and lack of resources, lack of social support, higher rates of homelessness, and less access to healthcare than many other groups.http://www.edgeboston.com/news/aids/news//174197/do_black_lives_matter?_asks_amfar_in_new_report